Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.44 / $2,951.78 / $14,482.00	Facility		$1,320.44	$2,951.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.44 / $1,354.79 / $4,968.68	Professional		$1,320.44	$1,354.79	$4,968.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,387.74 / $3,888.83 / $10,711.85	Professional		$1,387.74	$3,888.83	$10,711.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,708.11 / $4,333.22 / $6,989.33	Facility		$3,708.11	$4,333.22	$6,989.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.80 / $5,552.32 / $6,309.45	Professional		$2,623.80	$5,552.32	$6,309.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,320.44 / $1,942.84 / $2,881.71	Facility		$1,320.44	$1,942.84	$2,881.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,443.09 / $2,803.00 / $7,700.00	Facility		$1,443.09	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,660.38 / $3,892.45 / $10,625.88	Professional		$1,660.38	$3,892.45	$10,625.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $989.88 / $3,195.58	Professional		$132.78	$989.88	$3,195.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,320.44 / $2,007.46 / $2,881.71	Facility		$1,320.44	$2,007.46	$2,881.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,066.70 / $4,718.00 / $6,216.84	Professional		$3,066.70	$4,718.00	$6,216.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,360.12 / $21,360.12 / $21,360.12	Facility		$21,360.12	$21,360.12	$21,360.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,789.45 / $6,886.15 / $11,724.26	Professional		$2,789.45	$6,886.15	$11,724.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,969.12 / $4,969.12 / $4,969.12	Professional		$4,969.12	$4,969.12	$4,969.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,797.00 / $8,314.06 / $8,314.06	Professional		$4,797.00	$8,314.06	$8,314.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,660.38 / $4,227.33 / $6,685.43	Professional		$1,660.38	$4,227.33	$6,685.43